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A special supplement to

& FAll 2010

Eat Your Age! A guide to energy-boosting, disease-fighting foods

Live Better Longer Practical tips for living the golden years in healthy style

+ Fun for the Ages Safety Upgrades Surgery-Free Spruce-Ups Dress for Success


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ADVERTISERS Bernard’s Family Funeral ................................4 Century Bank & Trust ...................................13Í Chaplinwood.................................................16 The Cottages.................................................18 Curves ............................................................5 Edward Jones .................................................5

CARE FOR THE CAREGIVER As the number of Americans responsible for caring for an ailing loved one increases,so does the need to make their own health a priority

Stonecrest Comunity ....................................15

DON’T DRESS YOUR AGE Style tips every woman can use

Peach State Nursing......................................20

OPPORTUNITIES ABOUND IN LAKE COUNTRY The lake area offers many things to do for seniors

Robins Federal Credit Union............................7

Golden Corral ...............................................24 Oconee Regional Medical Center ....................3 Putnam General Hospital..............................14 Toomsboro Nursing Center...........................13 Twin Lakes Physical Therapy ........................16

A WHOLE NEW YOU Don’t live with the pain just because getting a replacement makes you feel old – here’s what you need to know about joint replacement

WHB Wealth Management..............................3 Williams Funeral Home.................................23 Wound Care Center, an affiliate of Oconee Regional Medical Center....17

EAT YOUR AGE Growing up doesn’t mean food can’t be fun — here’s what seniors need to eat to get the most from life

A publication of

& Enjoy Many Great Benefits as a CeleBraTions Travel Club Member

TURN BACK TIME, NO KNIFE REQUIRED Not ready or willing to take the plastic-surgery plunge? These non-surgical treatments could take years off of your eyes,mouth,hair,hands and feet

BRIEFS Ask the Experts:Marilyn Moffat and Carole Lewis A Farewell to Flabby Arms

165 Garrett Way Milledgeville Keith Barlow, Publisher Erin Simmons, Advertising Director Michael Evans, Circulation Director For advertising call 478-453-1430. The Silver Pages are inserted biannually in The Union-Recorder and Lake Oconee Breeze and distributed throughout Milledgeville and the Lake Oconee area.

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Are you puzzled by your financial plan? Putting all the pieces of your financial strategy in place can be a daunting task. We specialize in helping investors construct unique financial plans through fee-based asset management. Fee-based guidance means your assets will be allocated carefully, monitored regularly and that our success is aligned with the performance of your account. Contact us today for more information. Side by side we’ll begin putting the pieces together to help meet your investment goals. 3006 Heritage Rd., Suite C Milledgeville, GA 31061 William Black, CTFA President

(478) 414-1004

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Your health...Your choice. Choices. America is all about choices. What to buy, what to wear, what to other people have more choices than Americans. You also have a choice as to where you go for outpatient medical services...lab work, cancer treatment services, wound healing services, X-Rays, MRI’s, CT Scans or rehabilitation services like Occupational Therapy, Physical Therapy or Speech Therapy. These services are vital to your accurate diagnosis and recovery from illness or injury. Let Oconee Regional Medical Center be your first choice for Outpatient Services. With the latest equipment, highly trained staff and convenient location, you can expect excellent care with hometown hospitality.

Outpatient Services at Oconee Regional Medical Center Medical Laboratory Radiology Rehabilitation CancerTreatment Wound Healing have a choice. When your doctor prescribes Outpatient Services, say, “I’d like to go to Oconee Regional Medical Center.”

Focused on Healing...Focused on You. 821 North Cobb Street

Milledgeville. GA 31061



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Did you know that a funeral insurance policy is a protected asset?

A Farewell to Flabby Arms If your underarms keep waving long after your hand has finished saying goodbye,these exercise are for you It's no secret that aging causes the skin to stretch and sag, especially under the arms. But that doesn't mean resigning yourself to a lifetime of long sleeves. Experts agree that some simple stretching and toning exercises, easily accomplished at the gym or at home, can tighten up triceps and get body confidence soaring. The underarm is such a trouble spot because we really don't use it that much anymore, says Wendy Hernandez, associate fitness manager at Hollywood 24 Hour Fitness, Portland, Ore.“Since we don't do a lot of physical labor the way we used to,we rarely make the overhead movements that work the triceps,” she says.“We tend to put all the work on our biceps and back,which is partially why we have so many back problems.” Ashley Borden, a celebrity fitness and lifestyle consultant based in Los Angeles, says that if the muscle can't contract, it can't be worked. For this reason, Borden suggests starting your underarm workout with a foam roller. Massaging your muscles with these dense, foam cylinders helps to loosen and open the fascia - the tight, interwoven fibers that surround muscle tissue - increasing blood flow to the area and releasing tension.For better body alignment, improved circulation and a good stretch, Borden advises rolling forward and back five times along four different muscle groups down the body. Once the muscles are ready to work,Borden recommends working the bigger muscle groups first, and then focusing on the small burn. Start with three sets of 10 push-ups, either regular or on your knees,Borden says.Keeping the belly button in,tush tight and head in-line with the spine,slowly lower your torso to the ground until your elbows form a 90-degree angle;then raise back up.This move works your chest,shoulders and abs in addition to the triceps. Borden then narrows the burn with a move she calls “The Ear of Corn.” Lie on your back with knees bent, belly button in and eyes toward knees.Hold an 8- to 15-pound dumbbell with both hands as if an ear of corn.Lift the dumbbell above your head until arms are straight and then break with both elbows and,keeping upper arms straight,extend forearms back.Do three sets of 10-20. “Your back is significantly more stabilized in this exercise than with standing extensions or other triceps exercises,” Borden says. For more targeted moves,Hernandez recommends triceps kick-

I What that means to you and your loved ones is peace of mind that it will be there when the need arises. Your loved ones will have the money they need to celebrate your life and begin the process of living with the loss. Final expenses can be devastating and sometimes impossible for a family; and they often include expenses seldom included when you think about what those might be, like the ambulance to the hospital, immediate loss of income, medical expenses, travel for loved ones, etc. As a protected asset, it won’t count against you when determining whether or not you qualify for government funeral benefits, nor can it be taken away from you should you lose all other assets. You plan for the rent or mortgage, you plan for groceries and other household expenses because you know that planning means you are more likely to get more of what you really need and are less likely to spend more money than you have or should. Pre-need planning for a funeral is no different, except that the cost of a funeral is substantially greater and has a much larger financial impact. Protect yourself and your family with a plan. Make one phone call to talk to a pre-need professional. We care about what’s important to your family.

Call us today! Find out how to “lock in” today’s price for tomorrow’s funeral.

103 Willie Bailey St. • Eatonton, Georgia



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backs and pulldowns. When performing a kickback,kneel over a bench with one arm supporting your body, back straight. Pick up a dumbbell and position your upper arm parallel to floor.Slowly extend your arm backward until it is straight,holding at the top.Slowly return and repeat, then continue with opposite arm.For toning,do two to three sets of 12-15 reps on each side,at 8 to 10 pounds. For a pulldown, face a high pulley and grasp the rope handles with an overhand grip. Position one foot in front of the other and bend slightly at the hip.Keeping shoulders down and elbows close to your body,slowly extend arms down and pull out slightly at the bottom, holding for a moment. Return until forearm is close to upper arm.Again,do two to three sets of 12-15 reps. As an alternative to triceps dips, try the reverse push-up with a chair.For this move,position yourself as you would for a dip,with your hands on the edge of a chair behind you, but keep your legs straight and crossed out in front of you. Keeping your elbows in, slowly lower and then return.Do two to three sets of 12-15 reps. All of these moves are easy to do in a gym. Modify them for the home or office with the help of dumbbells,milk jugs,water bottles or a resistance band, if necessary. For a good triceps workout, do these five exercises one to three times a week,although Hernandez points out that switching up your routine every few weeks will help you see results faster.Checking in with a trainer or doing a little extra online research will ensure that you'll be waving goodbye to your flabby underarms,instead of the other way around.


478-414-1141 2485 N. Columbia ST #107 Milledgeville, GA 31061


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Most mature women want a modern,fashionforward style, but sometimes in their attempts to look girlish, they end up looking decidedly grandma.The solution? Raid younger generations' up-to-date wardrobes for hip accessories and basics,but mix them with simple, timeless looks defined by quality fabrics and impeccable fit, says Sherrie Mathieson, author of “Steal This Style: Moms and Daughters Swap Wardrobe Secrets” (Clarkson Potter,2009). Here are six of Mathieson's top tips:


1. FEET FIRST The shoes can truly make or break your outfit, Mathieson warns. She recommends investing in the most stylish and comfortable pairs you can afford.This means forgoing six-inch heels in favor of classic driving moccasins or contemporary favorites like ballet flats, kitten heels and boots.“Hunter boots,for example, are reasonably priced, have a rubber sole and always look great with skinny jeans and a tailored trench.”

2. THE EYES HAVE IT People abhor “wasting” money on their glasses,forgetting that they wear them every single day, says Mathieson. “Eyewear can also say 'young' or 'old' in a single second.” Skip the rimless or wire “granny” glasses, and go for modern plastic frames in black, tortoiseshell or a color like green or orange - just no silly patterns.

3. REIN IN THE BLING Many older women wear too much jewelry or select items that are too dainty or garish. Mathieson likes exquisite native crafts like Moroccan cuffs, old Mexican jewelry, classic pearls,diamonds and gold (used sparingly) or chunky necklaces, bangles and silver hoops.When dressing up, try a trendy bib necklace over a black A-line gown with jewel neck.

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4. FRAME THE FACE The neck isn't your best feature as you age,Mathieson says.Help elongate it and flatter your jawline by donning a cotton shirt or polo with the top two buttons open and collar turned up.Another trick is to loosely wind a soft scarf around the neck.Opt for sumptuous fabrics like silk, cashmere, linen or wool blends in face-flattering neutrals.

5. LOVE TO LAYER Top sleek silhouettes like tunics or crisp white blouses with a long, loose cashmere sweater, safari jacket or military coat. Wear them over navy or white skinny jeans, Audrey Hepburn-style tapered pants, cargo pants, jodhpurs or a bootleg cut, which flatters fuller figures.

6. MIX HIGH & LOW Invest in a few pricey accessories like shoes, watches and “statement” bags, which lend instant sophistication to inexpensive pants, shirts or even sweaters, Mathieson says. Regardless of cost, opt for quality fabrics that flatter aging skin and choose the correct fit - not too tight and revealing or too over-sized and frumpy. Mathieson likes J. Crew, Ann Taylor, RLX and Nike and luxury department stores like Bergdorf Goodman or Barneys.

MIND YOUR MAN “If your man doesn’t look good, there’s guilt by visual association,” Mathieson warns. Her pet peeves include pleated pants, predictable Hawaiian-style shirts, the Miami Vice look and aging rocker-style black tee-shirts paired with black leather jackets. Instead, go for flat front pants, classic Levis, khaki shorts, gray or olive polo shirts, button-downs in white, khaki or blue (including small blue checks or stripes), zippered cashmere sweaters, single-breasted suits in navy, charcoal or pin stripe, tasteful ties, high-end cufflinks and watches, fantastic shoes and wool scarves worn in an Italian loop style.“Simplicity is masculine,” Matheison says.


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Eat more. You probably haven't read those encouraging words in a long time, maybe not since your teen years. Instead, as a senior you're admonished to cut back on fat, calories and cholesterol, and it can be frustrating. Health experts are hearing from patients who don't know what they can eat anymore. “One patient said if he followed everyone's recommendations, he'd just be eating turkey and fish,” says Dr. Carole Gardner, a geriatrician and chief of the Elder Care Department at Kaiser Permanente Georgia, an Atlantaarea healthcare provider. However, that's not the whole story.There's also a positive message. Yes, consume more: more delicious fruits and vegetables, nutty-tasting whole grains, low-fat dairy products and mouthwatering salmon and tuna. By adding more of these healthful and flavorful foods to your diet, you'll also increase your intake of fluids, calcium, omega-3 fatty acids, vitamins D and B12, which are essential to your well-being as you age. Here's what to add to your table.

CALCIUM If you're 70 or older you should increase your intake of this bone-protective mineral to 1,200 milligrams (up from 1,000 milligrams) every day. Milk is an excellent source, providing 275 to 300 milligrams per cup. Drink and/or use a total of four cups of milk a day in your cooking and you're set. But if you were never fond of milk you may have a hard time reaching your goal through dairy alone. You'll also find calcium in fortified orange juice. “Take a look at orange juice with [added] calcium and vitamin D. You'll get more for your money,” says Ruth Frechman, a registered dietitian and spokeswoman for the American Dietetics Association. You also may want talk to your healthcare provider about taking a calcium supplement.

DIETARY FIBER Although you need slightly less fiber as a senior, certain medications, dehydration (see water) or dental problems can leave you short. Fortunately, fiber-rich foods, which prevent constipation, are readily available and inexpensive. Eat oatmeal for breakfast or choose cold cereals made from whole-grains, says registered dietitian Dee Sandquist. Add beans, whole grains, fruits and vegetables to your menus to reach the recommended daily intake of 30 grams for men age 51 and older and 21 grams for women in the same age group.

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MORE FOR LESS Although older adults need as many or even more of some nutrients than they did in their 30s they have to get those nutrients from fewer calories, say nutrition experts. As a general guideline, trim back 10 percent of calories for every decade over age 50, Sandquist says. A 49-year-old woman can consume 2,000 calories a day, as long as she's moderately active. That drops to 1,800 calories on her 51st birthday, according to recommendations from the government's 2005 Dietary Guidelines for Americans. Getting what your body needs while consuming fewer calories than you did decades ago can be challenging. Keep a food journal. Note when you're eating high-fat, sugary snacks and substitute more nutritious options. And move more. Active women age 51 and up can indulge in 2,000 to 2,200 calories a day without gaining weight.

OMEGA-3 FATTY ACIDS This healthy fat is very important as you age, says Frechman, who's based in Burbank, Calif. Eating foods high in omega-3 fatty acids may reduce your risk of arthritis and macular degeneration. Salmon is one of the best sources of omega-3 fatty acids.The fish also delivers vitamin B12 and protein, giving you more nutrients for your dollar, according to Sandquist, spokeswoman for the American Dietetic Association. Sardines, tuna, walnuts and flaxseed also provide omega-3 fatty acids, Sandquist says. Canned bone-in sardines also are rich in calcium, as well. Eating fish, especially fatty varieties, at least twice a week, is the American Heart Association's recommendation. Ask your physician whether you should take omega-3 supplements.

Experts currently recommend getting 600 International Units, which is also 15 micrograms a day, if you're 71 or older (400 IU if you're 51 to 70). Salmon, mackerel, tuna and fortified milk and orange juice are your best food bets. Getting adequate amounts of vitamin D from food alone may be difficult, say nutritionists, who suggest taking a vitamin D supplement. The vitamin is fat-soluble and should be taken with a fat-containing food, such as 1-percent milk or a salmon sandwich. “Don't take it first thing in the morning if you haven't eaten for a while,” Sandquist says.

VITAMIN B12 This vitamin, necessary for the formation of red blood cells, is available in animal products, including meat, fish, milk and eggs. Some breakfast

VITAMIN D Spend any time in the sun and your body synthesizes vitamin D. Unfortunately that ability declines as you age, leaving you short of this essential vitamin that supports bone health and possibly reduces risk of certain cancers.

“One patient said if he followed everyone’s recommendations, he’d just be eating turkey and fish. —Ruth Frechman, registered dietician and spokeswoman for the American Dietetics Association

cereals are fortified with vitamin B12. Although the vitamin B12 recommendation of 2.4 micrograms a day doesn't increase when you reach your senior years, your body may be less able to absorb the nutrient from food, which could lead to a deficiency. Talk to your physician about whether you're getting adequate vitamin B12, Gardner says.

WATER Water is more than a thirst quencher. It helps regulate body temperature and remove body waste. As you age you may become less sensitive to thirst and dehydrate easily, Gardner says. Don't wait until you're parched to have a beverage. Calorie-free water is ideal.Add a little zip to a plain glass of water with a lemon or lime slice, Sandquist says. Water doesn't have to be your liquid of choice, but avoid drinks that are high in caffeine, sugar or alcohol.You also can hydrate by eating fluid-containing foods such as yogurt, grapes, apples and cucumbers, Gardner says. MyPyramid for Older Adults [see sidebar] recommends drinking at least eight servings of water or fluids a day.

EAT (AND READ) ALL ABOUT IT Visit the following websites for reliable nutrition information: For general information and meal planning tips: You’ll find a downloadable version of the MyPyramid for Older Adults (over age 70) at 1197972031385/ NutritionPagenl2w_ 1198058402614.html The government offers a useful guide to weight management, exercise and nutrition in a downloadable file at: dietaryguidelines/dga2005/ document/pdf/DGA2005.pdf If you want more information on vitamin D, visit the government’s health web site at: factsheets/vitamind.asp


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MARK SISSON s motivations go, Mark Sisson's is hard to beat:“I want to find more opportunities to play,” he says. It's a bit of a wonder that he has the time. Sisson, 56, is the founder of Primal Nutrition, a company that offers natural supplements and information for healthy living. Sisson,a longtime health writer and editor,is a former marathon runner who earned a spot in the 1980 Olympic trials.He also served for 15 years as anti-doping and drug-testing chairman of the International Triathlon Union and was its liaison to the International Olympic Committee. He's the namesake of, an online community for “primal living in the modern world.” It's impossible not to notice that, for Sisson,what it means to be primal is a very big deal.For him and those who follow his recommendations for wellness, living a healthy life is all about taking cues from early man: how he ate, moved, slept and managed stress. It is a lifestyle that evolved out of necessity. From a young age, Sisson ran. What began as jogging home from school simply to get home more quickly turned into participation on the track team, which in turn led to finding success as one of the top marathoners in the country.“I was known as 'the fit guy,'”he says, on the phone from his home in Malibu, Calif.“In truth I was falling apart because I was doing what conventional wisdom suggested I do,which was to run a lot and to eat a very high carbohydrate diet.I was eating 1,000 grams of carbohydrates a day in order to fuel my running habit. “After a number of years of doing that, the wheels started to come off.I was very unhealthy on the inside.I had osteoarthritis in my feet.I had tendonitis in my hips.I had chronic upper-respiratory tract infections,six or eight times a year.I had seasonal allergies that were debilitating at times.And I had irritable bowel syndrome that I chalked up to stress.So,I was really the antithesis of a healthy human even though on the outside … I was a pretty healthy guy.” Sisson, who earned a degree in biology, jokes that he decided - 31 years ago - to defer med school for a few years.But his predisposition toward science has served him well.“I've been doing research on fitness and health


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* = A combination of brief, intense, occasional strength workouts and daily, sustained, low-level aerobic activity such as hiking, a walking briskly, or cycling gently.”

and nutrition and performance for a full 25 years,” he says.“Over 20 years ago, I found out that by reducing the intensity of my long chronic cardio workouts and just making them fun and intuitive,and by only occasionally doing a very intense sprint workout or an intense gym workout, that I could be healthy and fit on what amounted to a whole lot less struggling and suffering and sacrifice and pain and discipline and all of those negative words that we associate with having to be in shape. “And that was a revelation. That was the point at which I said,'This is really going to be my life's goal,to find out how I can get the most amount of benefit with the least amount of pain, suffering, sacrifice, discipline, caloriecounting, portion control, weighing and so on.' And to this day,that's what drives me. It's this notion that life ought to be fun and easy and enjoyable. And we ought to have all the things we want, the fitness, the leanness, the energy levels … with ease and grace and enjoyment.” It's impossible to argue with the results.“I say I've got the body of a 28year-old and the mind of a 17-yearold,” Sisson says, playfully. In truth, he has a better body than plenty of 28year-olds.And he's sculpted it by having fun and eating. “I don't work out like a fiend,” he says.“I almost apologize about how little I work out because it's, like, ridiculous how little I work out.Most of my body composition and what you see in a photograph is the result of how I eat.” Sisson believes 80 percent of body composition is a result of what we eat [see sidebar] and 20 percent is determined by exercise.“I still do train and I train intensely when I do,” he says. “But it's very brief amounts of focused, intense training.The rest of what I do is play.” Like golf. “I used to make a joke about golf when I was an endurance athlete,” he says. “As Mark Twain said, 'Golf is a good walk spoiled.' But golf may be one of the most primal activities there is if you carry your own bag for 18

holes, if you stop every once in a while and swing that club then hoist the bag back onto your shoulder and walk some more, if you have to go into the woods and forage or gather or hunt for one of your lost golf balls.” For Sisson,there are no restrictions on wellness.“At some point, people say, 'Well, I'm 60. Is it too late? Have I already done the damage?' And the answer is no,it's not too late.It's never too late.A lot of the 50- and 60-year-

olds that start on my program lose 35 or 50 pounds or more and get into some form of playing a game, whether it's playing golf again or playing pickup soccer with their kids.”But beyond that, Sisson says, “is the 50year-old who was on the cusp of getting cancer or arthritis or type 2 diabetes who now does not get it. That's huge.” Sisson recently hosted his first-ever gathering of like-minded wellness

enthusiasts of all ages, which he intends to make an annual event.“I had a 27-year-old tell me that he felt sorry for me because he's 27 and he's extracting all of this life advice from somebody like me who had to suffer for 15 years to get it.And I said to him, 'Do not feel sorry for me, man. I'm in the best space of my life. I wouldn't be where I am had I not gone through that process.So everything is perfect, everything works perfectly.'

THE PRIMAL BLUEPRINT BASICS Sisson says he could convey the essence of his regimen in two pages,“but the human brain needs to know why. People need to understand the whys and the wherefores and they need examples.” Here's what you need to know to get started:

1. CUT OUT SUGARS “It's a toughie,” Sisson acknowledges,“but there's not a person in this country who would argue that that's what they ought to be doing.”

2. CUT OUT GRAINS “I tell people they need to cut out grains and sugars at the same time because grains convert to glucose in the bloodstream very quickly,” Sisson says. “The brain doesn't know the difference between whether you just ate a bowl of table sugar or a handful of rice.” It takes about three weeks to down-regulate the genes that are dependent on glucose.“During those three weeks, your brain is still expecting you to be providing a source of glucose every three hours,” Sisson says, who suggests maintaining “access to some healthy snacks: a can of macadamia nuts, some beef jerky or turkey jerky, some celery with some almond butter handy, something so that you never feel like you're depriving yourself, and if you do get hungry, you don't need to reach for that bagel.”

3. CUT OUT ALL SEED OILS AND TRANS FATS Cut out all seed oils and trans fats “These are all the polyunsaturated oils, safflower, corn, sunflower, canola oils,”Sisson says.“Cut out trans fats. Really be diligent about reading labels. You'll find most processed foods, most foods that have to have a nutrition facts label, have one or more of those.”

4. GET A LOT OF LOW-LEVEL AEROBIC ACTIVITY “Not chronic cardio,” Sisson says. “Not the kind where your heart rate's racing at 80 to 85 percent of its max.We have a saying here: 'Make your hard workouts harder and shorter, and make your aerobic workouts longer and easier.' ”

5. ABSOLUTELY PAY ATTENTION TO YOUR SLEEP “Sleep is the most overlooked, underappreciated factor in terms of maintaining not just good health, not just good immune-system strength, but weight maintenance,” Sisson says. While the list of “primal” foods includes a nearendless array of options, Sisson suggests five basics to have on hand: • A refrigerator drawer full of salad fixings • Some form of grass-fed beef • A can of macadamia nuts • A dozen free-range eggs • Some form of organic butter For those who might think it's too expensive to eat this way, Sisson offers this reasoning. “A heart bypass is expensive. If it costs you as much as an extra $30 a week - and I don't think it does - to eat this way, and that's $1,500 a year, and you have more energy, you get sick less often so your doctor visits are cut down, and you are essentially assured of not needing a major heart operation, or you're virtually assured of not needing a litany of diabetic drugs or arthritic drugs or the drugs that are required to address the side-effects of those first drugs. That's a pretty good investment.” Sisson adds:“When you cut out the $4 candies at the movie theater, when you cut out the $5 sugarladen coffee, when you cut out the processed foods, and you're eating good, clean, great-tasting food, it may be that you save money.”


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Treating Bariatric Patients Sensitivity is needed not just for the patient but for the family as well By: Lynne King

The physician of a man who had fallen and sustained a hip fracture ordered a CT scan to confirm the diagnosis and determine treatment.An EMS unit received a call from the physician for a nonemergency transport of the patient to a local hospital. Upon arriving at the man’s home, the EMS unit realized they were to transport a bariatric patient who was 6 feet, 4 inches tall and 350 pounds. Due to his weight, after they secured the patient safely into the ambulance, the EMS unit had to travel to three different hospitals before they could find one that could accommodate a bariatric patient for a CT scan.Through the entire process of traveling from hospital to hospital, the patient and his family had to listen to the insensitive and embarrassing discussions of how to lift him on a stretcher, who would help lift him, and if the hospital even had a bed that would accommodate him. Treating bariatric patients is a sensitive matter and requires specialized equipment. Chaplinwood Health & Rehabilitation is announcing a new program for short-term rehabilitation or longterm bariatric care.The skilled nursing center understands that sensitivity is needed to treat a bariatric patient and that emotional support is critical for the patient and his or her family.The center is equipped with bariatric equipment and programs to support the patient. It offers physical and occupational therapy at the patient’s

bedside or in the therapy gym. There is no need to transport the patient for rehabilitation therapy, which puts less stress on the patient and family members. Chaplinwood is ready should the need arise for bariatric rehabilitation and care.They know first hand how it feels to have a bariatric family member; the daughter of the man who passed away is an associate at Chaplinwood. Another clinical specialty program that Chaplinwood offering is wound care. The center provides skilled wound-care services for patients with all types of chronic wounds such as pressure ulcers, complex surgical wounds, venous ulcers, arterial ulcers, and diabetic foot ulcers. Care is patient-focused with a multidisciplinary approach, involving the following members of our health care team: • Physician • Wound/Treatment Coordinator • Nurses • CNAs • Registered Dietitian • Clinical Pharmacist • Physical and Occupational Therapists Chaplinwood Health & Rehabilitation is ready to serve you and your family members when you need them.

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Enjoy Many Great Benefits as a CeleBraTions Travel Club Member The only things which can restrain the fun of being a part of the CeleBraTions Travel Club are the four corners of the earth.This travel group is comprised of Century Bank & Trust customers who not only appreciate better banking but also the opportunity to enjoy exciting destinations and rewarding new friendships. In late August, an Opening Night Preview was held, attracting 175 people interested in knowing more.These attendees learned that the coming year will feature trips to New York in November and to Hawaii in February 2011…indicative of the trips members can anticipate in years to come. From the bright lights of Broadway to the warm sands of Maui, CeleBraTions Travel Club members have something to mark their calendars for with a bright red star. Here’s how you can become a CeleBraTions Travel Club member: simply open any combination of checking, savings, certificate of deposit, IRA or Trust & Financial Services Division* with a combined minimum collected balance of $10,000 or higher, and you’re eligible.

*Trust & Investment Services from Century Bank are not deposits, not FDIC insured, not guaranteed by the Bank, and may go down in value. In honor of our Travel Club, Century Bank & Trust has created a FREE CeleBriTy Travel Club Checking account, which features the following benefits: • Travel Club membership • Free personalized Club checks • Free checking with no minimum balance required, other than the $10,000 total blended, collected balance required among eligible accounts with us • Free 3 x 5 Safe Deposit Box • Free Online Banking and Online Bill Pay • Free Anytime Access Telephone Banking • Free ATM/Debit Card • Fee-Free Traveler’s Checks • Free Notary Service • Free Official Bank Checks • Free Investment Portfolio review • Free Estate Planning review

Heritage Healthcare of Toomsboro Administrator - Patricia Franklin-Ramage Director Of Nursing - Sarah Canon A Certified Eden Alternative Facility - 1 Of 3 in Georgia In the Middle Georgia area, one name stands out as being the ideal spot for the elderly, or chronically ill, to rest & recover. At TOOMSBORO NURSING CENTER patients are encouraged to become more active, and regain their strength to lead a normal life once again. Located at 210 Main St., phone (478) 933-5395, this qualified nursing center specializes in those individuals who need constant supervision and care. Fine recreational facilities & excellent home cooked meals make TOOMSBORO NURSING CENTER a favorite with people from all walks of life. There’s a physician on call at all times, and the staff is supervised by registered nurses. In compiling this 2005 Historical Review, we, the writers, would like to make particular mention of the outstanding facilities offered by this quality-conscious nursing home. Everyone at TOOMSBORO NURSING CENTER thanks the families for placing their complete trust & confidence in them, and looks forward to taking care of your loved ones in the future!

210 Main Street • Toomsboro • 478-933-5395

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S I LV E R PA G E S - FA L L 2 0 1 0 – I S S U E 2

Ask the Experts: Marilyn Moffat and Carole Lewis The physical therapist co-authors of 'Age-Defying Fitness' explain how to stay fit for life,starting now hen Marilyn Moffat and Carole Lewis volunteered to work on a committee for the American Physical Therapy Association's Section on Geriatrics, they were no strangers to the fitness challenges facing the 50plus set. Both are at the top of the physical therapy field. Lewis wrote the first textbook on geriatric rehabilitation, and Moffat has published books and articles on body maintenance, arthritis and osteoporosis. Both therapists express concern about the quality and reliability of most fitness books.“None of the fitness books were written by therapists but [instead] by nutritionists,personal trainers and movie stars,”Lewis says. Seeing a need for a fitness manual rooted in science and research,the women got to work.The result is“Age-Defying Fitness:Making the Most ofYour Body for the Rest ofYour Life”(Peachtree,2006),a step-by-step guide to developing and maintaining a sustainable,healthy,fitness-based lifestyle at any age.Although there is no fountain of youth,the therapists explain why exercise is certainly the next best thing.


Who says you have no heart? Not only do you have one, it’s as good as new, thanks to cardiac rehab at Putnam General Hospital. Whether a heart attack, heart valve disease, or other heart procedure, our professional cardiac rehabilitation team is here to work you back to heart health. Couple that with the two onsite Cardiologists available through Piedmont Heart Institute and you have your onestop-shop on your way to healthy recovery. Encouraging the reduction of all cardiac risk and development of healthy lifestyle, it’s just another way we strive, every day, to help you live well.

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What makes a lifestyle “age-defying”? Carole Lewis:There are five necessary components: posture, strength, balance, flexibility and endurance. Marilyn Moffat: Each one of these is necessary for a healthy, fit lifestyle. In its own way, each is a motor skill.You need to train them all.

Is posture really that important? Carole: Posture seems so innocuous, but it's been implicated in many problems in aging baby boomers. It's a causal factor in all sorts of problems and injuries, ranging from falls to shoulder pain. Luckily, posture is easy to fix if the person is given correct coaching and works at it, but it can get much worse if they don't work to correct it or use bad form or the wrong practices. Marilyn: Our book provides tests to assess your body's performance. So you can not only assess your posture, but also learn to improve it with the right kind of postural exercises and small tips to do throughout your daily routine.

Is a healthy diet enough?


Carole: Unfortunately, no. Exercise is the other ingredient crucial to health; diet alone will not do it. Marilyn: But a healthy diet is essential to a healthy lifestyle.The obesity epidemic, not only in this country but also around the world, provides solid evidence of why diet and exercise must both be a part of our lifestyle behaviors.

S I LV E R PA G E S - FA L L 2 0 1 0 – I S S U E 2

After age 50, what's the biggest health concern for most people?

for calcium metabolism, which protects bones and fights osteoporosis.

Marilyn:There really isn't a No. 1 issue as we age. Unfortunately, most people do not realize that strength, flexibility, balance, endurance and posture all start changing in our 30s, and these are not positive changes. Muscle mass, bone mineral density and heart and lung functioning,to cite a few,will all decline with age.With each decade, and especially after the age of 50, strength decreases by about 10 percent, unless you're diligent about keeping your body fit.

Osteoporosis is a major concern for aging women. Should men be concerned, too?

So everybody feels weaker with age? Carole: Strength deficits are a major concern for many people over 50. Without actually testing it, someone might think their strength is fine and therefore not pursue a strengthening program. But most people have subtle weaknesses and imbalances that, if left untreated, can cause problems ranging from osteoarthritis to impingement syndrome to hip fractures.

“Strength deficits are a major concern for many people over 50. It’s because, without actually testing it, someone might Do you recommend taking any think their strength is fine and therefore not pursue a strength- vitamins or supplements? Carole:We're very careful not to talk about diet, ening program. since we're physical therapists,not nutritionists.But — Carole Lewis


Marilyn: Men can get osteoporosis but generally they develop it later in life than women. Exercise programs like ours, and especially specific exercises that load the bones and strengthen the muscles around the bones, can help. Carole:We provide exercises for the whole body. The posture section will help put men and women in better alignment.The strengthening section will work every muscle group and provide needed weight resistive exercises. Finally, the balance section will help them avoid falls and subsequent fractures associated with osteoporosis.

How much success have your clients experienced? Marilyn: We have patients and clients well into their 90s and 100s who are still living independently and exercising every day! Carole: We have seen people dramatically improve in all areas.We had one lady whose head was positioned so far forward, it was almost resting on her chest. Afterward, she gained so much improvement that she almost looked like a model.

new research shows how important Vitamin D is

STONECREST COMMUNITY If you are ready to downsize or just tired of the yard work, Stonecrest Community is perfect for you. Located just inside Greystone Arbor Subdivision • Log Cabin Road • Milledgeville, GA

Completely Custom-Built, Luxury, One-level Homes Featuring: Brick Exteriors, Architectural Roof Shingles, Enclosed Garages, Metal Clad Windows, 9’ Ceilings throughout with Crown Moldings, Hardwood and Porcelain Tile Flooring and Solid Surface Countertops For Further Information Contact:

Fordham & Company 478-454-2176


S I LV E R PA G E S - FA L L 2 0 1 0 – I S S U E 2

Opportunities abound in Lake Country By LYNDA JACKSON

Whether you prefer independent activities, group activities, indoors or outdoors, opportunities abound for the 50-plus age group. Milledgeville and the surrounding Lake Country area has an abundance of activities and resources for just about anything the 50-plus individual is inclined to do. From the simple to the complex, there isn’t much that our area lacks when it comes to pleasing just about anyone. The lake area has numerous libraries for getting more information on what to do, where to go and how to get there. Check out the Twin Lakes Library System, which includes the main branch, Mary Vinson Library located downtown, the Georgia College & State University library, and the various others in the area. If you are interested in picking up a new hobby, starting a new pastime such as genealogy or just want to read or surf the web, you can start at one of these facilities.You don’t have to stop there either.The local newspapers and various seasonal publications will also help direct you to many different activities and venues.There is also the Milledgeville-Baldwin Convention and Visitors Bureau, located downtown, the local

Milledgeville 571 Hammock Rd • Suite 106 • (Old McGaw Building)

(478) 452-6252

Chris Alford, PT,Shawn Roberts, Denny Wood, Allyson Wood, DPT, SCS, ATC, CSCS



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Lake Oconee



1001 Village Park Drive Suite 105

222 West Clinton St., Suite 3 (Next to Advance Auto Parts)

(706) 454-2000

(478) 986-5400

Chris Alligood,

Michael Dunning,

Chris Hairie,




Kim Bershadsky, PT

S I LV E R PA G E S - FA L L 2 0 1 0 – I S S U E 2 Chamber of Commerce with staff available to help you out. For those interested in the arts and history, we have a number of museums and historical sites to visit.The CVB trolley tours, which operate weekdays at 10 a.m. and at 2 p.m. on Saturdays, can give you a perspective on the history and local of Milledgeville. GCSU and the Goldstein Center for Performing Arts on the historic Georgia Military College campus provide entertainment with musical productions and other performing arts activities.The Milledgeville Players are almost always preparing a production of one sort or another. If you prefer fine dining or the night life there are a number of fine restaurants and night spots to choose from both in Milledgeville and around the lakes.You can check out The ‘Ville or the Dining Guide both published on a regular basis to keep you up to date on upcoming events.


If you have a desire to further your education there are post-secondary schools in the area and continuing education courses are offered. Maybe you just want to learn a new hobby. Short continuing education courses are available locally to help you out.Are you more interested in technology? If so you can check out Digital Bridges, housed in the Knight Innovation Center downtown, which recently opened in Milledgeville. Last, but certainly not least, if you love the outdoors there are walking trails, golf courses, bicycle trails, recreation centers, and of course the abundance of lakes for fishing, boating and camping, which give this area the nickname “Lake Country.” So no matter what you care to do, you are sure to find a way to do it right here in your own backyard. Sit back, relax and enjoy those years that you have waited so long to attain.You’ve earned it so what are you waiting for?

NOW HEAL THIS The first wound treatment center of its kind near you. A wound that hasn’t healed in 30 days threatens your health and lifestyle. At Oconee Regional Medical Center’s Wound Healing Center, our proven treatment heals most chronic wounds. You’ll get the latest in equipment and technology, supervised by a panel of local, skilled physicians. Our specialized care is covered by most insurance plans and Medicare. Talk to your doctor or call the Wound Healing Center. There’s new hope for healing your wound.

Call for an evaluation. 478-457-2323 679 Martin Luther King, Jr. Drive • Milledgeville


S I LV E R PA G E S - FA L L 2 0 1 0 – I S S U E 2

A WHOLE NEW YOU Don't live with the pain just because getting a replacement makes you feel old. Here's what you need to know about joint replacement. uffering chronic pain in his left hip due to severe arthritis, George Devanney was told in 2006 he would “just know” when it was time for hip replacement surgery. Given his age, he thought his hip should last for a few more years, though he'd been limping for months. Then while skiing the following winter, his hip gave out and he started somersaulting.“I remember it like it was yesterday.I got up and said,'I have to get my hip replaced.'” He was 44 and neither old nor frail. Devanney, now 48 and living in Berkeley Heights, N.J., is one of a growing number of middle-aged people who have undergone hipreplacement surgery,challenging the idea that 60 on up is a more age-appropriate time for the procedure. “I had the perception that hip replacement


was something for 70-year-olds,” Devanney says.“Now,I believe the younger and the faster you get it done, the more ability you have to live life to its fullest.” Not long ago,physicians advised patients to wait until their 70s to consider joint replacement.“Now in their 40s and 50s,we don't tell them to wait. Patients have higher quality-oflife expectations and want to get back to the activities they enjoy,” says Devanney's surgeon, Dr. Calin Moucha of the Mount Sinai Medical Center in New York.“Plus, there are new materials and methods that last a long time.Hip replacements used to be fixed to the bone with cement, and the cement would eventually fail if you put it in at an early age.” Prosthetic joints generally are made of metal, plastic or both. Some are ceramic, but those are more likely to break, Moucha says.

The joint can either be cemented into place or implanted,so the bone grows into it.An uncemented joint is often recommended for younger, more active people with strong, healthy bones. “The implant really becomes part of the bone and lasts a lot longer,” perhaps even forever,Moucha says. Other prosthetic hip joints consist of a metal ball and a metal socket,but when metal rubs against metal, ions enter the bloodstream.Whether this should concern patients is up for debate, but Moucha recommends metal-on-plastic joints instead. Where the bones come together at the joint, a plastic liner provides cushioning between the two metal components.The downside is the plastic might not outlast the patient. “I tell all people below 70 there is a chance

S I LV E R PA G E S - FA L L 2 0 1 0 – I S S U E 2 they may need to have the plastic liner changed sometime in their lifetime,” Moucha says. Two fairly recent innovations include anterior hip replacement and hip resurfacing.Anterior hip replacement switches out the entire joint,but it differs from traditional hip replacement because no major muscles are cut.Using a special operating table, surgeons gain access to the joint through a four-inch incision on the front of the hip as opposed to a 10- to 12-inch incision on the patient's side or posterior. A smaller incision means less blood loss, and with less trauma to the muscles patients recover and resume normal activities sooner. Hip resurfacing, an alternative to total hip replacement, is specifically designed for patients under 60. Instead of replacing the damaged ball of the hip joint, the surgeon smoothes and caps it with metal.Then,a metal cup is fitted into the hip socket.The principal advantage of hip resurfacing is that it conserves bone, says orthopedic surgeon Dr. Daniel Snyder,Newton,Mass. Active men between the ages of 40 and 60 who have good bone quality are the best candidates for hip resurfacing, while women's success rates are lower due in part to their smaller stature.“You're relying on bone to support the metal cap.The bigger the head on the bone,the better result,so size matters,” Snyder says. Anterior hip replacement and hip resurfacing are both technically difficult procedures,so in choosing a surgeon,patients should ask how many the doctor has performed.For hip resurfacing, it's safest to find a surgeon who has chalked up 100 or more successes,Snyder recommends. Moucha advises against hip resurfacing because the implants are metal-on-metal and the risk of complications are greater.“I think it's a fad that's on its way out,” he says. Patients should keep in mind that while new procedures are available, traditional total hip replacement surgery has an outstanding track record, especially with the newer materials. “Metal on plastic is the tried and true,” Moucha says. Hip replacement surgery does not signal the onset of old age and inertia.“These days,we're letting patients do a lot more after the surgery. We used to say no skiing” or other strenuous pursuits,Moucha says. That's a good thing, because nine months after his surgery, Devanney was back on the slopes feeling as strong as ever,other than a little pressure in his new hip that has since gone away. The following autumn, he trekked to the base camp of Mt. Everest as part of a personal challenge to raise cancer awareness and conquer a new sport.This year, he's climbing Mt.

Fuji. “Without question the new hip has made things far, far better,” he says.“Not only has it helped me get back to the things I enjoy,but it also opened up a whole new door for me with the trekking.”


Devanney certainly isn't taking it easy or babying his new hip, though he realizes the plastic liner is likely to wear out before he does.“I don't know how long the hip replacement will last,” he says.“But I want to see how long I can go and how far I can push it.”


S I LV E R PA G E S - FA L L 2 0 1 0 – I S S U E 2

Care for the Caregiver As the number of people responsible for caring for ailing loved ones increases, so does the need for caregivers to attend to their own health The term “informal” or “family” caregiver refers to anyone who provides unpaid assistance to a loved one who is, in some degree, incapacitated and needs help: a wife with cancer; a grandfather with Alzheimer's; a brother with a traumatic brain injury; a friend with AIDS. According to the Family Caregiver Alliance,there are approximately 52 million family caregivers in the United States providing either short- or longterm care for an ill or disabled loved one aged 20 or older.Nearly one in five provides more than 40 hours of care per week.These numbers continue to grow due to the high cost and limitations of heathcare and the aging baby boom generation. “You don't have to be doing it 24/7,” says Donna Schempp, program director for the San Francisco-based FCA.“If you are doing things like bringing over meals or helping with laundry,you should identify as a caregiver.” But the caregiver's role also can include full-time cooking,cleaning,running errands and handling bills, feeding, bathing and dressing their loved one and,in some cases,providing complex medical care,such as administering shots and medications,flushing ports and dressing wounds.In addition, they often provide emotional support and manage erratic behavior. “It's a really tough role,” says Kimberly Stump-Sutliff, a registered nurse and associate medical editor for the American Cancer Society.“A leukemia patient in one of my support groups whose wife had lymphoma said that he'd rather be the one with cancer than the caregiver any day.” In light of the overwhelming responsibilities,most caregivers tend to disregard their own health,often skipping routine checkups,eating poorly and

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S I LV E R PA G E S - FA L L 2 0 1 0 – I S S U E 2 failing to get adequate sleep,exercise and personal time.The higher incidence of stress contributes to increased cortisol levels, which make caregivers more susceptible to problems like high blood pressure,compromised immune function and cognitive impairment.Sleep deprivation can lead to weight gain,fatigue and mood disorders. “Caregivers have a 50-percent higher incidence of depression,”Schempp says. The solution for prevention is to make it a priority to take care of yourself.It may sound selfish or impossible when your loved one is gravely ill, but you can't provide optimal care if you are also sick, says John W.Anderson, author of “Stand by Her:A Breast Cancer Guide for Men”(AMACOM, 2009).Anderson had such poor immune function while caring for his wife as she fought breast cancer, that he developed Lyme disease and tested positive for exposure to tuberculosis. Caregivers must keep up with their own medications and doctor's visits.They should also consider following the ACS Nutrition and Physical Activity Guidelines:maintain a healthy weight;eat a diet rich in produce and whole grains;limit alcohol consumption; get 30 to 60 minutes of exercise at least five days a week; and don't smoke.These steps reduce the risk of cancer, heart disease,diabetes and other illnesses. And a healthy caregiver is a more capable caregiver. Taking care of your body includes taking care of your mind.That could mean reading a book, finishing a project or going out to dinner with friends.“It's easy to think that you always have to be there, but you need breaks to recharge your batteries,” Anderson says,“and the truth is that your loved one needs breaks from you,too.” Make the time for self-care by asking for help from family and friends before you desperately need it. Say yes when help is offered.There are many community and federal resources,such as the National Family Caregiver Support Program, which help caregivers by providing free chore services,time off and counseling. Help yourself by learning more about your loved one's condition and ways to make your job easier.This may be as practical as having a physical therapist demonstrate how to lift your loved one without stressing your back. Or it may be learning new behaviors that at first seem counterintuitive. “For example,we often spend a lot of time trying to make dementia patients see the truth - I'm your daughter, not your wife - rather than just going with where they're at,” Schempp says.“But constantly correcting them just makes them feel put down, angry and anxious, and the reality is that they won't be able to remember later anyway because they have dementia.” More information,as well as support networks and discussion forums specifically for caregivers, can be found online at,, and



S I LV E R PA G E S - FA L L 2 0 1 0 – I S S U E 2

Turn Back Time, No Knife Required Not ready or willing to take the plastic-surgery plunge? These nonsurgical treatments could take years off of your eyes, mouth, hair, hands and feet


ven though most folks would rather not end up with a facelift fiasco like Joan Rivers or Kenny Rogers, growing old gracefully doesn't mean you have to embrace every wrinkle or gray hair. Luckily the following non-surgical treatments can take years off your eyes, mouth, hair, hands and feet, without making you any less wise.

EYES Prevent the deepening of fine lines and fade sunspots around the eyes with topical retinoids, says Dr. Amy Wechsler,a New York-based dermatologist and author of “The Mind-Beauty Connection:9 Days to Reverse Stress Aging and Reveal More Youthful, Beautiful Skin” (Free Press, 2008).These Vitamin A derivatives build collagen, regenerate elastin and diminish abnormal pigmentation. The most effective wrinkle-erasers require a prescription (Renova, Avage, Differin and the like), but Wechsler also recommends over-the-counter products from Topix Pharmaceuticals, such as Topix Replenix Retinol Smoothing Serum. Keep future damage at bay by slathering on the SPF and wearing sunglasses to reduce the squinting that contributes to crow's feet. For more immediate results, your dermatologist may recommend Fraxel laser skin-resurfacing (typically three treatments over a few weeks) or a quick Botox injection.“The effects of Botox last about four months,” Wechsler says. “However, lines never come back as deep.”While you're at it,ask the doc about Latisse,a prescription treatment that can restore the thick,dark lashes of your youth. But don't forget that vision problems like cataracts, presbyopia, glaucoma and macular degeneration (the leading cause of blindness) are also a sure-fire way to show your age.To slow down or prevent these troublesome changes, Dr. Oz Garcia, a New York-based nutritionist and author of “Redesigning 50: The No-PlasticSurgery Guide to 21st-Century Age Defiance” (Collins, 2008), recommends daily 2,000-milligram doses of Vitamin D, in addition to consuming adequate lutein and zeaxanthin, carotenoids found in foods like spinach, kale, pistachios and eggs.

MOUTH “If you smoke - stop,” says Dr. Sandy Johnson, of Johnson Dermatology, Fort Smith,Ark. Not only does it

S I LV E R PA G E S - FA L L 2 0 1 0 – I S S U E 2 break down collagen and deprive the skin of oxygen, the repetitive puckering contributes to vertical lines around the lips. Reduce these common creases, as well as nasolabial folds, marionette lines and lipstick lines, for up to a year with facial fillers like Restylane or Perlane.Try Botox or Dysport to help relax the muscles around the mouth.“But if you don't like injections, I've had great success with skin tightening using the Gentle YAG laser,” Johnson says. Also keep in mind that near-constant exposure to the elements and the gradual loss of subcutaneous fat can wreak havoc on your lips. Prevent wrinkles, brown spots and skin cancer from developing on this sensitive tissue by religiously using a lip balm that contains sunscreen,Wechsler says.Avoid products that contain phenol (such as Blistex), which have a stripping effect. Don't forget to moisturize your lips at night. Plain old Vaseline does the trick. As for lip fillers, Johnson prefers Juvederm XC, a hyaluronic acid gel which comes premixed with lidocaine.

HAIR As we age, hair becomes thinner and produces less pigment (melanin). According to Garcia, you may be able to slow hair loss by using a shampoo like Plantur 39, which contains caffeine extracts that protect roots from fluctuating-hormone-induced damage. You can also strengthen your mane from the inside out by getting sufficient B vitamins, iron, zinc, protein and Omega-3s. Garcia recommends eating a serving of seafood five times a week, or 1,000 to 2,000 milligrams of fish or flax oil every day. Supplementing with colloidal Silica and L-Cysteine can improve hair thickness and texture. You might want the gray to go away, too, but to avoid further damage to brittle strands, don't over-process your hair, Johnson says.“However, with that said, I would be sad if I didn't color my hair every six weeks.” If you have the same sentiment,use shampoo and conditioner specifically made for color-treated hair, but be sure you thoroughly rinse the conditioner off your hair and body to prevent build-up or breakouts.

HANDS Even though the hands are constantly subjected to washing and use, people frequently forget to apply beauty products to this extremely thin, fragile skin. The result? Early aging indicators such as a crepe-y texture,bulging veins and “liver spots.” To protect against these premature problems, Johnson recommends dousing your mitts with SPF in the a.m. and a


TEETH-WHITENING Tobacco,coffee,tea,colas and red wine all contribute to the yellowing of teeth.So does aging.As white enamel wears thin,the underlying layer of yellowish dentin starts to show through.To get your pearly whites looking pearly white again,try these tips from Marty Zase, a dentist with the Colchester Dental Group, Colchester, Conn.

AT-HOME: Numerous pastes and flosses that contain hydrogen peroxide or carbamide peroxide (standard whitening agents) claim they can bleach your teeth. However, if you use them in a normal fashion, your choppers won't actually get any whiter, they will simply be cleaner.“Whitening power is a function of strength multiplied by time,” says Zase.“To work,you would have to keep these products against your teeth for 15 to 20 minutes.”Your best bet is stick-on products like Crest Whitestrips.Just make sure to use enough of them to cover your whole smile. If your back teeth remain dark, it can look like they're missing.

TRAYS: The most effective bleaching system, these trays of whitening agents (such as Opalescence, Nite White and Day White) fit over your teeth like a glove. Made by your dentist, they are designed for you to use at-home every day for two to four weeks. If you develop gum/tooth irritation or sensitivity to cold, skip a day or ask your dentist to adjust the concentration and add a desensitizing agent.

POWER BLEACHING: The most expensive bleaching option (and at about an hour, the fastest), this in-office treatment involves painting a highconcentration gel (e.g.BrightSmile,Zoom!) onto the teeth and is done with or without a light.It works best when followed by trays, Zase says.

WARNINGS: Don't whiten if you already have fillings, crowns, veneers or bridges on your front teeth, since the bleach won't alter the color of these materials. Instead, discuss new veneers or bonding with your dentist. Continuing to smoke or consume coffee and other stain-causers may require touch-up treatments at regular intervals. And note: despite the term “bleaching,” actual bleach is a poison and should never be involved in whitening teeth. retinoid at night. Consistent use of a moisturizer won't reverse damage, but hands will look suppler and thus more youthful (look for hydrating shea butter, olive oil and Vitamin E).Garcia particularly likes Perricone MD, a line of cosmeceuticals that combat the signs of aging by reducing inflammation. You can also use a Fraxel laser on the hands, but one of Johnson's favorite quick treatments (approximately 20 minutes) is Radiesse injections. This longer-lasting filler is smoothed out into the hollowed areas, providing plumper paws for up to two years.

FEET Perhaps due in part to less visibility and prohibitive costs, people rarely use retinoids, lasers or fillers on the feet, Wechsler says. Instead, keep your toes looking tip-top with regular exfoliation to prevent calluses and cracks, and a good daily moisturizer. Massage it in slowly to boost circulation. Women should also take periodic breaks from nail polish, because the chemicals can have a drying/yellowing effect. If the skin on your feet is especially dry and thick, try using a product that contains urea,such as Carmol 20,advises Wechsler.“And remember that feet need sunscreen too.”After all, avoiding unnecessary wrinkles and sunspots anywhere on your body is sure to put a little extra spring in your step.

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Silver Pages September 2010

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